Individual
MRS. CRYSTAL BERRY HOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1506 KLONDIKE RD SW, SUITE 205, CONYERS, GA 30094-5173
(678) 750-3010
(770) 696-2911
Mailing address
1506 KLONDIKE RD SW STE 205, CONYERS, GA 30094-5173
(678) 750-4000
(678) 750-4005
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
058813
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408365264B
—
GA
Enumeration date
12/13/2006
Last updated
04/01/2020
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